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04-3787 (RPL)DUILDING & JAFETY DEPARTMENT P.O. Box 1504 - ' -,(760).777-7012 78-495 CALLE TAMPICO ''• '" FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 5 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT - Application -Number . . . . . 04-000037,817 Date 4/29/04 Property Address . ... . . . 7883 WAKEFIELD CIR. APN: 604-431-001-9 . -239-95 Application description '. POOL - RESIDENTIAL Property Zoning . . LOW DENSITY -RESIDENTIAL._ t Application valuation,,, N .- . 1.5000 Owner~Contractor ------------------------ MOORE JOHN M VACATION`POOLS 78835 WAKEFIELD.CIR 9522'DONALDSOtq ROAD LA QUINTA CA 92253. LUCERNE VALLEY CA•.92356 WCC: STATE -FUND ' WC: 2290,019334 0.1/01/.05 . CSLB: 351673 01/31/05 CCC: C53 Permit . . . . . MECH ---------------------- POOL Additional desc Permit.Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . • " Valuation 0 Qty " Unit Charge- Per i Extension BASE FEE15.00 2.00 :-9'-:.OA 0 0 EA`•° MECH` FURNACE <=1'00K - -' 18.00 ,' , 1 , l - -r Permit BLDG -------------- POOL PERMIT -' k S . Additional desc Permit Fee 162.00 Plan Check Fee .' ��. `. 10.5.30 Issue Date =" Valuation '15000 i. Qty Unit•Charge Per r•* Extension - BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001725,000 117.00 --------------------------------------- Permit . . . . .\. ELEC -----------------•------I-------------- POOL PERMIT -RES Additional desc-. Permit Fee . . . 45.00 Plan Check Fee 11..25 Issue Date Valuation 0 Qty Unit Charge _ Per ..., Extension : BASE jFEE 15.00 1:0030.0000 EA ..EL'EC'PRIVATE.SWIMMING FOOL 30:00 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: (Q e I Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS IKCENSED CONTRACT R'S DECLARATION thereby affirm unCn� enSnu pZcea t t I.a lice ed under visio s o mancr7,hi ion 7000) of Division 3 of the Business and Professionals Code, and my Lic is /V License ClassLicen a o. .� A l7 �J \ / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt fro he rn actors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, de lish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (__) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION Thereby affirm under penalty of perjury one of the following declarations: . I have and will maintain a certificap of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this perm is issued. workers' ,Carrier -1ICOMP I certify that, in a performan compensa ' n laws of Ca ' N f rthwith mply with t se pr Date VAririfirant WARNIN : FAI U E TO ECURE WORKCIVIL FINESLP TO ONE HUNDRED THOU SECTION 3706 OF THE LABOR CODE, INTEREST, AND nsurance as ire S n 3700 6or Tp4orrformance of the work for which this permit is carrier an tic _ U Der t . rhich this p rhOis i*6eV shall not employ any person in any manner so as to become subject to the workers' I, if I sho d beco ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall A ION CRAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND S 100, 0 IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN rTO S EES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work4ped u r olio rng issuance of this permit. 2. Any permit issued as a result of this application becomes null and void i wanced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation.I certify that I h ve read this pplication and state that the abov i ratio c ply with all city and county ordinances and state laws relating to building construction d hereb horize r resentatives of this co ty to enter u e bproperty for inspection purposes. Date at re (Applicant or Agent): tir° err nlfk3, Page 2 Application Number. .04-000.03787, Date 4/29`/04 Permit,,PLUMBING Additional desc ;. Permit Fee .33.00 Plan Check Fee 8.25 Issue Date Valuation 0 Qty_ Unit Charge Per Extension BASE FEE 15.00 2. 00'. 6:.0000 EA PLB FIXTURE '12.. 00 1.00 3..0000 EA PLB WATER INST/ALT/REP.. 3.00.. 1.Q0. 3.0000 EA: PLB GAS" PIPE 1-4 OUTLETS a. 3.00 Special Notes and Comments POOL/SPA ONLY. ALARMS/BARRIERS SHALL BE - IN PLACE PRIOR TO.PREPLASTER INSPECTION.. Fee summary Charged Paid Credited Due Permit Fee Total 273.00 .00 .00 273.00 Plan Check Total 133.05 .00 .00 133:05 ! Grand'Total 406.05 00 .00 r 406.05 ! VACATION POOLS & SPA. 9522 Donaldson Road Lucerne Valley, CAS 92356 _c.�v- 1 : ,..y.e� (760) 248-6045 t I " (760) 248-2919 FAX Lic. #C-53-351673 P t- I � �� -�__ � � �_ � � Sales Locations 1 r, Bermuda Dunes, Irvine, ,, \� 1r.4 o •1�� bqL w ��California City, Rialto, �i — Lucerne Valley 1 800 999-1811 CITY OF LAG GENERAL SPECIFICATION I� - _ . } /�. _ • 7, t F i � , { _ {.. � - { -, --; - - _. .. ........ -BUILDING &SAFE _. a SIZE X 3 2- AREA PERIMETER APPROV - T DEPTH i3 i� TILE CHOI 2 _fi.�. - _ -- - D - - - w RBB. . _ _► = . t �. Q , , _ . �_ .,_ _..._ . r . , Z._. _ ._ . _; TE . r.;_.w _ ..� Y-• . � -i-t_ _ ».Y_.-Y �:S BY COPI DA__:�'/a l -� e NG _• i POO.. :- ...01 .GAL S ---+r.- �_GPM:-CAPAPUMPCITY CJ V .,HP11 _'�.-_.MTO._ _ . arc ! HPC - - -� FOTEOR; At/0 SQTF SL[Q�� r � r= R i^ ._..l "-i:'. .- � Y� - ._. «. _ t ;i---..^•;._� t..._ __V___._ - - - _� .. _a..i~._._ . _.T _.;.-..s--_.�. �__�_�._,..._,._:.. -.+••--••••�-•j--t '',,.FILTER RATE.__ _ i -�� •-- •-----•-- out � - V�.,.GPM' _1- +�o/BTU , HEATER- �tJ - 4 �--�• '; r-• , _ I- - � vJ TURNOVER HRS+ 3.- SUCTION LINES. - T RETURN LINES y y SKIMMER MODEL�tl ic/c4AJ __ CHECK:VALVE _Y41-0-, . GASLINE `BY -Oa FT. 6--a l7 POOL'LIGHT.T'z?2 `r CLOCK ARE INSPECTION �'� ELECTRICALBX_;l O FT. 1 _.. FT , CLEANER A ♦ 6 J WILL BE CHARGED I '. CLE �. CHEM FEEDER i11 : �� ,,,} ,_,;•„-,i• # - _+_ 'i PLANS AND JOB CARS PLASTER-COLOR a ✓vJ Efts . ; r_ :} I _ , I .r �. *- I T{ t q Q - DECKTY E`' i2o S S;4L-r � I THE SITE FOR . rfi t _ r ' JT 1 y { i 51�w`^' V INSPECTION. ; t - 4 _ _ L t _ �. •-�- ! L .. _ ..� 'o } SIZE RASED -r _ I I-+..� _�_ i ,y , - - Ali e%�t• , -LIT 4 Q 1 _ �.._,... . +... . _ - T I • � ._:. � : _� . r.+_ .. L_ - _'E .WATTS z �` DUAL LEVEL SEATS DAMWALL TOP -! SPILLWAY SIZE / X WIDE f. . 'CONTRACTOR ca not assume responsibility for DATE SPILLWAY 774- FA 'C n#JETS is 1�_ . _ a ` _ `� _ �. j+(' �� damage to curbs, sidewalks, driveways, cement slabs, sewers, lawns, trees, fences, retaining walls, , sprinklers, telephone or shrubs. Name: Z6T E �, ,v c S { 4t When access is made through a neighbor's property 4k F s f it is understood that you, the owner, have that Address: Gk) Ale IF/--/ 060 G'��• �% neighbor's p r ssion and a me ful res nsibility. } _ City L,4. 41.147-A 4 z S3 DATE 5 D� SIGN E TRACT LOT#